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AB0998 Evaluation of The Effectiveness of Joint Status Self-Assessment by Patients with Rheumatoid Arthritis
  1. E. Yurova,
  2. E. Lygina,
  3. S. Yakushin,
  4. G. Bagirova,
  5. A. Vorobyev
  1. Ryazan State Medical University, Ryazan, Russian Federation

Abstract

Objectives The cooperation in the “doctor-patient” pair is necessary to implement the TREAT TO TARGET conception in the management of rheumatoid arthritis (RA). For greater adherence to treatment, self–control of the disease activity is important for a patient. We have created an original method of training RA patients to self-assess the count of swollen and tender joints correctly. The objective of the research was to study the effectiveness of the method of training patients to self-assess the RA activity.

Methods The study included 96 patients with the definite diagnosis of RA, according to the ACR/EULAR 2010 diagnostic criteria (88 females; 8 males, mean age 58,1 (51,0; 65,0), the median duration of RA was 8,3 (2,0; 11,5). During the first visit patients were trained using the original method of Disease Activity Self-Assessment (the physician demonstrated the technique of self-assessment of swollen and tender joints and provided the patient with printed guidelines and photos). During the second and third visits with one-month interval, there was an independent control of swollen and tender joint count by a physician and a patient. Statistical significance was analyzed using the McNemar's test.

Results Absolute coincidence of the number of tender joints as assessed in parallel by a physician and a patient was observed in 35 cases during the second visit and in 62 (p=0,01) cases during the third visit. Absolute coincidence of the number of swollen joints as assessed in parallel by a physician and a patient was observed in 43 cases during the second visit and in 65 (p=0,01) cases during the third visit.

Conclusions Our original method of Disease Activity Self-Assessment allows training most patients with RA to assess swollen and tender joints. This is important for self-control of the diseases activity and allows a patent to visit a physician for timely therapy correction.

Disclosure of Interest None declared

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